Organization Active NPI

Midwest Internal Medicine P.S.C

  • Pulmonary Disease Physician
  • Louisville, KY
National Provider Identifier
1811902570
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MIDWEST INTERNAL MEDICINE P.S.C
Practice address
250 E Liberty St Ste 200
Louisville, KY 40202-1534
Phone
(502) 568-6722
Fax
(502) 568-6733
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nuzhat A Hasan, M.D.NPI 1730167230
Title
C.E.O
Phone
(502) 568-6722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

250 E Liberty St Ste 200
Louisville, KY 40202-1534

Mailing address

250 E Liberty St Ste 200
Louisville, KY 40202-1534
Phone (502) 568-6722

Other identifiers 2

IdentifierTypeStateIssuer
64016033MedicaidKY
DA0912OtherKYRAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000535 KY Part B Supplier - Clinic/Group Practice 7618881350 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY
O20050209000657 IN Part B Supplier - Clinic/Group Practice 7618881350 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, IN

National Provider Directory

National Provider Directory

Locations

3303 Plaza Dr
Ste 3
New Albany, IN 47150
Phone (502) 568-6722

250 E Liberty St
Ste 200
Louisville, KY 40202
Phone (502) 212-9393

250 E Liberty St
Ste 420
Louisville, KY 40202
Phone (502) 568-6722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1811902570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E LIBERTY ST STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021534",
            "telephone_number": "502-568-6722",
            "fax_number": "502-568-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E LIBERTY ST STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021534",
            "telephone_number": "502-568-6722",
            "fax_number": "502-568-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INTERNAL MEDICINE P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "NUZHAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "502-568-6722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64016033",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DA0912",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.